As the Director for Trauma Anesthesiology at ZSFG, the only level 1 trauma hospital for San Francisco, I have experience with the realities of a cachement hospital. My vision to leverage that experience to the inform practice, and make ZSFG/ UCSF a key player in addressing the surgical burden and pain aspect of global health. To that end I am an active faculty member in the Anesthesia Division of Global Health Equity; working on issues of equitable access to surgical and anesthesia care in the US.